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患者男性,34岁,渐起腹部包块二年入院,多次腹部平片,B 超,静脉肾盂造影,消化道钡餐检查提示:胰腺假性囊肿,左肾盂轻度积水。起病以来,病人无尿急、尿频、尿痛。化验,肾功能正常。手术探查所见:左侧为双输尿管,其一已形成巨大囊肿,囊肿有三处膨大,分别为28×18×9cm;22×14×8cm;8×6×2cm;相互间以增粗的输尿管连续。上部呈哑铃状伏于胰腺前面,下部为“S”形,沿结肠沟至盆腔。术中解剖囊肿:剪开后腹膜,打开囊壁,放出积液4400ml,追踪起始端,第一处膨大,从左肾上极内侧开始,向右环绕,伏于胰腺前
Male patient, 34 years old, gradually abdominal mass two years admitted, multiple abdominal plain film, B ultrasound, intravenous pyelography, gastrointestinal barium meal examination Tip: Pancreas pseudocyst, left renal pelvis mild water. Since the onset, the patient no urgency, frequent urination, dysuria. Laboratory tests, normal renal function. Surgical exploration of the see: the left side of the ureter, one of which has formed a huge cyst, the cyst has three swollen, respectively, 28 × 18 × 9cm; 22 × 14 × 8cm; 8 × 6 × 2cm; between the thickening of the ureter continuous. Dumbbell-shaped upper part of the front of the pancreas, the lower part of the “S” shape, along the ditch to the pelvis. Intraoperative anatomical cysts: cut open the peritoneum, open the wall, release effusion 4400ml, tracking the beginning, the first Department of inflated, starting from the left kidney on the inside of the pole on the right, around the right volt in the pancreas